Queensland University of Technology, School of Nursing, Victoria Park Road, Kelvin Grove, Queensland 4059, Australia.
Intensive Crit Care Nurs. 2010 Dec;26(6):327-34. doi: 10.1016/j.iccn.2010.08.001.
Diarrhoea in the enterally tube fed (ETF) intensive care unit (ICU) patient is a multi-factorial problem. Diarrhoeal aetiologies in this patient cohort remain debatable; however, the consequences of diarrhoea have been well established and include electrolyte imbalance, dehydration, bacterial translocation, peri anal wound contamination and sleep deprivation. This study examined the incidence of diarrhoea and explored factors contributing to the development of diarrhoea in the ETF, critically ill, adult patient.
After institutional ethical review and approval, a single centre medical chart audit was undertaken to examine the incidence of diarrhoea in ETF, critically ill patients. Retrospective, non-probability sequential sampling was used of all emergency admission adult ICU patients who met the inclusion/exclusion criteria.
Fifty patients were audited. Faecal frequency, consistency and quantity were considered important criteria in defining ETF diarrhoea. The incidence of diarrhoea was 78%. Total patient diarrhoea days (r=0.422; p=0.02) and total diarrhoea frequency (r=0.313; p=0.027) increased when the patient was ETF for longer periods of time. Increased severity of illness, peripheral oxygen saturation (Sp02), glucose control, albumin and white cell count were found to be statistically significant factors for the development of diarrhoea.
Diarrhoea in ETF critically ill patients is multi-factorial. The early identification of diarrhoea risk factors and the development of a diarrhoea risk management algorithm is recommended.
肠内管饲（ETF）重症监护病房（ICU）患者的腹泻是一个多因素问题。该患者人群中腹泻的病因仍存在争议；然而，腹泻的后果已经得到充分证实，包括电解质失衡、脱水、细菌易位、肛周伤口污染和睡眠剥夺。本研究检查了腹泻的发生率，并探讨了导致 ETF 重症、成年患者腹泻的因素。
在获得机构伦理审查和批准后，进行了一项单中心医疗图表审查，以检查 ETF、重症患者腹泻的发生率。使用回顾性、非概率序贯抽样法对符合纳入/排除标准的所有急诊成人 ICU 患者进行抽样。
共审核了 50 名患者。粪便频率、稠度和数量被认为是定义 ETF 腹泻的重要标准。腹泻的发生率为 78%。当患者 ETF 时间较长时，总患者腹泻天数（r=0.422；p=0.02）和总腹泻频率（r=0.313；p=0.027）增加。疾病严重程度增加、外周血氧饱和度（Sp02）、血糖控制、白蛋白和白细胞计数被发现是腹泻发生的统计学显著因素。
ETF 重症患者的腹泻是多因素的。建议早期识别腹泻的危险因素，并制定腹泻风险管理算法。
